{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:19:37Z","timestamp":1789690777715,"version":"4.0.1"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background and objective<\/jats:title>\n                    <jats:p>The results of comparing standard Robotic-assisted Radical Prostatectomy (S-RARP) and Retzius-sparing Robotic-assisted Radical Prostatectomy (RS-RARP) in treating early urinary continence (UC), oncological outcomes, operation time, and perioperative morbidity in patients with clinically localized prostate cancer were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on the clinical data of 120 cases of RS-RARP performed at the First Affiliated Hospital of Gannan Medical University from October 2019 to March 2025. Among them, 60 cases underwent standard Robotic-assisted Radical Prostatectomy (S-RARP), and 60 cases underwent Retzius-sparing Robotic-assisted Radical Prostatectomy (RS-RARP). The clinical data, perioperative indicators, and surgical outcomes of the two groups of patients were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 120 surgeries were successfully completed. The operation time (mean\u2009\u00b1\u2009SD) of the S-RARP group was (138.97\u2009\u00b1\u200947.24) minutes, and that of the RS-RARP group was (150.78\u2009\u00b1\u200951.72) minutes. There was no statistically significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). The intraoperative blood loss (IQR) of the S-RARP group was 100.00 (237.50) mL, and the incidence of perioperative complications was 8.33% (5\/60); for the RS-RARP group, it was 100.00 (150.00) mL and 6.67% (4\/60), and the differences between the two groups were not statistically significant (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). The positive rate of surgical margins in the S-RARP group was 30% (18\/60), and that in the RS-RARP group was 35% (21\/60), and the difference was not statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). Comparisons of the immediate, first-week, and first-month urinary continence recovery rates between the two groups showed that the RS-RARP group was superior to the S-RARP group, and the differences were statistically significant (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01); however, the third-month urinary continence recovery rate showed no statistically significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.057).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Retzius-sparing Robotic-assisted Radical Prostatectomy is beneficial for improving the early recovery of urinary incontinence in patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1774133","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T06:34:06Z","timestamp":1771310046000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Application and efficacy of Retzius-sparing robotic-assisted radical prostatectomy"],"prefix":"10.3389","volume":"13","author":[{"given":"Zhicheng","family":"Zeng","sequence":"first","affiliation":[{"name":"Department of Urology, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faxiong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neng","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Urology, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yalin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofeng","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Urology, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Urology, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1055\/s-0032-1324651","article-title":"Von den anf\u00e4ngen bis DaVinci","volume":"43","author":"Sohn","year":"2012","journal-title":"Aktuelle Urol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1491","DOI":"10.1038\/sj.bjc.6605341","article-title":"Robotic-assisted laparoscopic prostatectomy","volume":"101","author":"Sharma","year":"2009","journal-title":"Br J Cancer"},{"key":"B3","first-page":"199","article-title":"Radical prostatectomy in locally confned prostatic carcinoma","volume":"359","author":"Walsh","year":"1990","journal-title":"Prog Clin Biol Res"},{"key":"B4","doi-asserted-by":"publisher","first-page":"854","DOI":"10.1016\/S0090-4295(97)00543-8","article-title":"Laparoscopic radical prostatectomy: initial short-term experience","volume":"50","author":"Schuessler","year":"1997","journal-title":"Urology"},{"key":"B5","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1046\/j.1464-410x.2001.00115.x","article-title":"Robotically-assisted laparoscopic radical prostatectomy","volume":"87","author":"Binder","year":"2001","journal-title":"BJU Int"},{"key":"B6","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1111\/bju.12705","article-title":"Retzius-sparing robot-assisted laparoscopic radical prostatectomy: combining the best of retropubic and perineal approaches","volume":"114","author":"Lim","year":"2014","journal-title":"BJU Int"},{"key":"B7","doi-asserted-by":"publisher","first-page":"974","DOI":"10.1016\/j.eururo.2013.06.046","article-title":"Beyond the learning curve of the retziussparing approach for robot-assisted laparoscopic radical prostatectomy: oncologic and functional results of the first 200 patients with >\/\u00bc 1 year of follow-up","volume":"64","author":"Galfano","year":"2013","journal-title":"Eur Urol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1016\/j.eururo.2020.09.042","article-title":"EAU-EANM-ESTRO-ESUR-SIOG guidelines on prostate cancer\u20142020 update. 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